| Cornerstone Family Medicine, Pllc | |
|
408 N Austin St Comanche TX 76442-2408 | |
| (817) 925-0046 | |
| Not Available |
| Full Name | Cornerstone Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 408 N Austin St, Comanche, Texas |
| Authorized Official Name and Position | Molly Brooks Gray (OWNER PHYSICIAN) |
| Authorized Official Contact | 3253561135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Medicine, Pllc 408 N Austin St Comanche TX 76442-2408 Ph: (325) 356-1135 | Cornerstone Family Medicine, Pllc 408 N Austin St Comanche TX 76442-2408 Ph: (817) 925-0046 |
| NPI Number | 1124557319 |
|---|---|
| Provider Enumeration Date | 06/09/2017 |
| Last Update Date | 10/20/2021 |
| Medicare PECOS PAC ID | 2466721501 |
|---|---|
| Medicare Enrollment ID | O20170706000981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124557319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Molly B Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760641187 PECOS PAC ID: 8224299532 Enrollment ID: I20120413000129 |
| Provider Name | Gina Lynette Young-harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164023289 PECOS PAC ID: 8527355650 Enrollment ID: I20220113001404 |
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